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Pseudomonas aeruginosa endogenous endophthalmitis with choroidal abscess in a patient with cystic fibrosis.

机译：囊性纤维化患者铜绿假单胞菌内源性眼内炎合并脉络膜脓肿。

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摘要

PURPOSE: To describe the clinical presentation, management, and outcome of a case of endogenous intraocular infection due to Pseudomonas aeruginosa in a patient with cystic fibrosis (CF). METHODS: The authors describe a case of an adult patient with CF who developed an intraocular infection by P. aeruginosa. RESULTS: Diagnosis was confirmed by culture of purulent fluid obtained by transcleral incision and drainage. The infection persisted in spite of aggressive surgical intervention including extensive endoresection of the visibly affected retina and choroid and multiple administrations of appropriate intraocular, subconjunctival, and systemic antibiotics. Eventually, the eye became blind and painful and was enucleated. CONCLUSIONS: Endogenous intraocular infection by P. aeruginosa can occur in patients with CF who have not undergone lung transplantation. An infection of this type may be impossible to eradicate by aggressive surgical intervention and appropriate antibiotic therapy.
机译：目的：描述囊性纤维化（CF）患者因铜绿假单胞菌（Pseudomonas aeruginosa）引起的内源性眼内感染的临床表现，处理和结果。方法：作者描述了一名成人CF患者，该患者发生了由铜绿假单胞菌引起的眼内感染。结果：经经切口切开引流的脓性液体培养可确诊。尽管采取了积极的外科手术干预措施，但感染仍持续存在，包括对明显受影响的视网膜和脉络膜进行广泛的内膜切除术，以及多次给予适当的眼内，结膜下和全身性抗生素。最终，眼睛变得盲目而疼痛并且被摘除。结论：未经肺移植的CF患者可发生铜绿假单胞菌的内源性眼内感染。积极的外科手术干预和适当的抗生素治疗可能无法消除这种类型的感染。

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